FOR MUCOCELE LESIONS – CAREFUL EXCISIONAL BIOPSY

Punch Biopsy
Punch biopsy
Advantages :
Ease of technique
Sutures may not be required if small diameter punch
May produce a more satisfactory specimen in bound
down tissues (e.g. hard palate)

Drawbacks:
May not be adequate for biopsy of deeper pathology
May be difficult to biopsy freely movable tissues (e.g. soft
palate, floor of mouth)
Technique of punch biopsy

• biopsy punches should range in size from 2-10 mm in

diameter
• the smaller diameters should be avoided due to the risk of
over-manipulating and crushing the tissue .
• The technique is easily performed with a low incidence of
postsurgical morbidity.
• Suturing in regards to a punch biopsy procedure is usually
not required as the surgical wounds heal by secondary
intention.
CORE BIOPSY

• Fine needle biopsy has been established as a safe

procedure and is routinely performed under local
anaesthesia. Many pathologists believe that for
histologic study, core tissue is more useful than
cytologic material
Fine needle aspiration cytology

• It is the “Technique of aspiration of cells/ fluid/ tissue

fragments using a fine needle for examination under a
microscope”
• ADVANTAGES

1. The technique is relatively painless, produces speedy results.

2. It is an inexpensive technique.
3. It requires little equipment.
4. The technique can be done as an out patient or a bed side procedure.
5. There is no problem with wound healing.
6. The technique is readily repeatable
 INDICATIONS

1. Non palpable lesions, or area difficult to biopsy but can

be localized by CT, MRI, Ultrasound.
2. To rule out vascular lesions prior to open surgery.
3. In cases where Biopsy is contraindicated on medical
background.
4. Used as a diagnostic screening test at community level
for head and neck masses.
5. Indicated for known tumors to assess effect of
treatment.
6- To determine the presents of fluid within a lesion and to
a certain the type of fluid within a lesion.
7-When exploration of an intraosseous lesion is indicated
Aspiration

Procedures:
 An 18-gauge needle is connected to a 5 or 10 ml syringe and is
inserted into the center of the mass via a small hole in the lesion.
 The tip of the needle may need to be positioned in multiple
directions to locate a potential fluid center.
 The material withdrawn during aspiration biopsy can be submitted
for pathologic examination and/or culturing.
FINE NEEDLE WITH ASPIRATION